| NPI | 1740947407 | 
|---|---|
| Other Name | FORT MORGAN HIGH SCHOOL | 
| Former Legal Business Name | PLAN DE SALUD DEL VALLE, INC | 
| Entity Type | Organization | 
| Authorized Contact | JOHN SANTISTEVAN CEO 303-892-6401  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | 
| Enumeration Date | 2021-11-17 | 
| Last Update Date | 2023-01-25 |